|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$661.77 |
$661.77 |
$661.77 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$1,340.07 |
$1,340.07 |
$1,340.07 |
$2,154.68
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$1,829.28
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,946.55 |
$1,946.55 |
$1,946.55 |
$1,758.12
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$542.64 |
$542.64 |
$542.64 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$384.18 |
$384.18 |
$384.18 |
$552.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$117.42 |
$117.42 |
$117.42 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$117.42 |
$117.42 |
$117.42 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$120.27 |
$120.27 |
$120.27 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$79.23 |
$79.23 |
$79.23 |
$141.60
|
|
Inject sacroiliac joint
|
$984.39 |
$984.39 |
$984.39 |
$1,090.00
|
|
Inj for ext venography
|
$1,852.50 |
$1,852.50 |
$1,852.50 |
$737.55
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$446.88 |
$446.88 |
$446.88 |
$1,482.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$307.23 |
$307.23 |
$307.23 |
$1,837.17
|
|
Inj ivig privigen 500 mg
|
$145.50 |
$145.50 |
$145.50 |
$7,173.90
|
|
Inj mepivacaine hcl/10 ml
|
$11.69 |
$11.69 |
$11.69 |
$31.28
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,287.63 |
$1,287.63 |
$1,287.63 |
$1,522.56
|
|
Inj proc ankle arthr
|
$869.25 |
$869.25 |
$869.25 |
$405.31
|
|
Inj proc elbow arthro
|
$383.04 |
$383.04 |
$383.04 |
$453.60
|
|
Inj proc for lymphang
|
$497.04 |
$497.04 |
$497.04 |
$1,372.00
|
|
Inj proc lumbr disk ea lvl
|
$1,800.06 |
$1,800.06 |
$1,800.06 |
$1,224.30
|
|
Inj proc myelogram lumbar
|
$1,719.69 |
$1,719.69 |
$1,719.69 |
$922.80
|
|
Inj retro urethrocysto
|
$969.57 |
$969.57 |
$969.57 |
$551.29
|
|
Inj scleros sol mult veins
|
$719.34 |
$719.34 |
$719.34 |
$687.96
|
|
Inj scleros sol sgl vein
|
$688.56 |
$688.56 |
$688.56 |
$534.40
|
|
Inj testosterone cypionate
|
$0.09 |
$0.09 |
$0.09 |
$82.58
|
|
Inj triamcinolone ace X-ray 1mg
|
$37.70 |
$37.70 |
$37.70 |
$21.45
|
|
Inj w/fluor eval cv device
|
$621.30 |
$621.30 |
$621.30 |
$588.90
|
|
Ins cath ren art 1st bi
|
$8,319.15 |
$8,319.15 |
$8,319.15 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$7,588.98 |
$7,588.98 |
$7,588.98 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$12,081.15 |
$12,081.15 |
$12,081.15 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$10,202.43 |
$10,202.43 |
$10,202.43 |
$5,528.94
|
|
Insert cath pleura with image
|
$3,452.49 |
$3,452.49 |
$3,452.49 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,758.80 |
$2,758.80 |
$2,758.80 |
$2,212.00
|
|
Insert hepatic shunt (tips)
|
$11,082.51 |
$11,082.51 |
$11,082.51 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$99.75 |
$99.75 |
$99.75 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$121.98 |
$121.98 |
$121.98 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,821.41 |
$5,821.41 |
$5,821.41 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,753.10 |
$2,753.10 |
$2,753.10 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$8,483.88 |
$8,483.88 |
$8,483.88 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,600.91 |
$2,600.91 |
$2,600.91 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,492.83 |
$1,492.83 |
$1,492.83 |
$858.05
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$30,829.02 |
$30,829.02 |
$30,829.02 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$25,392.36 |
$25,392.36 |
$25,392.36 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$33,872.82 |
$33,872.82 |
$33,872.82 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,645.94 |
$2,645.94 |
$2,645.94 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,419.65 |
$2,419.65 |
$2,419.65 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$80,740.50 |
$80,740.50 |
$80,740.50 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$16,097.94 |
$16,097.94 |
$16,097.94 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$16,097.94 |
$16,097.94 |
$16,097.94 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$17,204.31 |
$17,204.31 |
$17,204.31 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,579.29 |
$7,579.29 |
$7,579.29 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$16,097.94 |
$16,097.94 |
$16,097.94 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$71,190.72 |
$71,190.72 |
$71,190.72 |
$33,948.20
|
|
Insert swan-ganz cath
|
$2,391.15 |
$2,391.15 |
$2,391.15 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$76,071.06 |
$76,071.06 |
$76,071.06 |
$5,062.80
|
|
Ins icd gen exist sgl lead
|
$42,140.67 |
$42,140.67 |
$42,140.67 |
$24,159.72
|
|
Insitu hybridization auto
|
$524.97 |
$524.97 |
$524.97 |
$398.16
|
|
Insitu hybridization manual
|
$885.78 |
$885.78 |
$885.78 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$314.07 |
$314.07 |
$314.07 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$314.07 |
$314.07 |
$314.07 |
$338.40
|
|
Insj perq vad r hrt venous
|
$76,071.06 |
$76,071.06 |
$76,071.06 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$34,551.12 |
$34,551.12 |
$34,551.12 |
$12,384.25
|
|
Insole orthotic freedom sz6 6816
|
$202.35 |
$202.35 |
$202.35 |
$68.15
|
|
Ins picad w subq port 5yr>
|
$7,579.29 |
$7,579.29 |
$7,579.29 |
$4,341.66
|
|
Ins pm gen w/exist mlt leads
|
$40,351.44 |
$40,351.44 |
$40,351.44 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$6,452.97 |
$6,452.97 |
$6,452.97 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$25,699.59 |
$25,699.59 |
$25,699.59 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$24,201.06 |
$24,201.06 |
$24,201.06 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$21,400.65 |
$21,400.65 |
$21,400.65 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$25,392.36 |
$25,392.36 |
$25,392.36 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$57,352.26 |
$57,352.26 |
$57,352.26 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$1,303.02 |
$1,303.02 |
$1,303.02 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$1,303.02 |
$1,303.02 |
$1,303.02 |
$898.12
|
|
Ins tun cv cath wo subq prt/pm
|
$5,586.00 |
$5,586.00 |
$5,586.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$6,452.97 |
$6,452.97 |
$6,452.97 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$1,371.42 |
$1,371.42 |
$1,371.42 |
$1,074.68
|
|
Insulin total
|
$27.93 |
$27.93 |
$27.93 |
$67.60
|
|
Interdiscal perq aspir dx
|
$1,354.89 |
$1,354.89 |
$1,354.89 |
$1,222.26
|
|
Intra-atrial pacing
|
$9,350.85 |
$9,350.85 |
$9,350.85 |
$5,155.51
|
|
Intracard echo interv w/s&i
|
$2,610.60 |
$2,610.60 |
$2,610.60 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$26,299.80 |
$26,299.80 |
$26,299.80 |
$11,364.78
|
|
Intracranial angioplasty
|
$20,590.11 |
$20,590.11 |
$20,590.11 |
$7,149.60
|
|
Intracranial complete study
|
$347.13 |
$347.13 |
$347.13 |
$883.30
|
|
Intrapul surf admin endo tube
|
$376.77 |
$376.77 |
$376.77 |
$239.52
|
|
Intrinsic factor antibody
|
$64.41 |
$64.41 |
$64.41 |
$59.95
|
|
Intro cath dialysis circuit
|
$6,424.47 |
$6,424.47 |
$6,424.47 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$11,248.38 |
$11,248.38 |
$11,248.38 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$22,726.47 |
$22,726.47 |
$22,726.47 |
$15,625.00
|
|
Intro catheter aorta
|
$3,422.85 |
$3,422.85 |
$3,422.85 |
$1,861.61
|
|
Intro cath svc/ivc
|
$3,068.88 |
$3,068.88 |
$3,068.88 |
$1,350.75
|
|
Intro long gi tube
|
$1,703.73 |
$1,703.73 |
$1,703.73 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$213.75 |
$213.75 |
$213.75 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$966.72 |
$966.72 |
$966.72 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$483.36 |
$483.36 |
$483.36 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$652.08 |
$652.08 |
$652.08 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$489.06 |
$489.06 |
$489.06 |
$677.98
|
|
Ionm in operatng room 15 min
|
$98.61 |
$98.61 |
$98.61 |
$200.78
|
|
Iron
|
$27.93 |
$27.93 |
$27.93 |
$70.72
|
|
Iron binding capacity
|
$32.49 |
$32.49 |
$32.49 |
$63.00
|